Provider Demographics
NPI:1215088307
Name:KEANE, DANA L (LMFT)
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:L
Last Name:KEANE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:LYNN
Other - Last Name:SCHUTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23929 VALENCIA BLVD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2109
Mailing Address - Country:US
Mailing Address - Phone:661-286-5267
Mailing Address - Fax:661-298-2299
Practice Address - Street 1:23929 VALENCIA BLVD
Practice Address - Street 2:SUITE 305
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2109
Practice Address - Country:US
Practice Address - Phone:661-286-5267
Practice Address - Fax:661-298-2299
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT29383106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist